Individual provider Active NPI

Obiora Ofole, MD

  • Internal Medicine Physician
  • Suffolk, VA
National Provider Identifier
1902043490
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101256658 Issued in VA
Practice address
2800 Godwin Blvd FL 1
Suffolk, VA 23434-8038
Phone
(757) 934-4821
Fax
(757) 934-4276
NPI assigned
Jan 21, 2009
Last updated
Jul 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101256658 VA Primary
Hospitalist Physician 208M00000X 261788 NY

Addresses

Primary practice location

2800 Godwin Blvd FL 1
Suffolk, VA 23434-8038

Mailing address

2800 Godwin Blvd FL 1
Suffolk, VA 23434-8038
Phone (757) 934-4821

Other identifiers 1

IdentifierTypeStateIssuer
1700042231MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20141124002438 VA Practitioner - Internal Medicine 3375716038 Reassigns benefits to 9 organizations
I20151118002219 TX Practitioner - Internal Medicine 3375716038 Reassigns benefits to 2 organizations
I20190423000339 NC Practitioner - Internal Medicine 3375716038 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Observation Physicians of TidewaterGroup PAC ID 8123401429, 19 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

1144 N Rd St
Elizabeth City, NC 27909-3473
Phone (852) 335-0531

1418 Taureau CT
Apt D
Virginia Beach, VA 23451-6033
Phone (800) 424-3672

2800 Godwin Blvd
Suffolk, VA 23434-8038
Phone (757) 934-4000

288 S Ridgecrest Ave
Rutherfordton, NC 28139-2838
Phone (828) 286-5000

3050 Halstead Blvd Ext
Room 2 147
Elizabeth City, NC 27909-4994
Phone (330) 492-4443

78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 932-4075

830 Kempsville Rd
Norfolk, VA 23502-3920
Phone (757) 261-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Sep 12, 2019 Accepting new patients
Riverside Physician Services Inc CurrentSince Jan 16, 2017 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Oct 6, 2014 Accepting new patients
Observation Physicians of Tidewater Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Usacs Integrated Acute Care Services of North Carolina, PLLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Sep 18, 2015 Accepting new patients
Cogent Healthcare of North Carolina, PC Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Lake Spring Physician Services, LLC Hospitalist CurrentSince Oct 1, 2018 Accepting new patients
Riverside Physician Services Inc Internal Medicine CurrentSince Jan 16, 2017 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Apr 1, 2019 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Southeastern Intensivist Services PC Internal Medicine CurrentSince Apr 15, 2024 Accepting new patients
Ingleside Physician Services, LLC Hospitalist CurrentSince Oct 1, 2018 Accepting new patients
Chemung Medical Services PC Internal Medicine Past Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

101 Harris Rd
Kilmarnock, VA 22482
Phone (804) 435-0997

1 Arh Ln
Low Moor, VA 24457
Phone (540) 345-2593

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 934-4000

2800 Godwin Blvd
Fl 1
Suffolk, VA 23434
Phone (757) 934-4821

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1902043490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 GODWIN BLVD FL 1",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348038",
            "telephone_number": "757-934-4821",
            "fax_number": "757-934-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 GODWIN BLVD FL 1",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348038",
            "telephone_number": "757-934-4821",
            "fax_number": "757-934-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFOLE",
        "first_name": "OBIORA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-21",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101256658",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "261788",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700042231",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.